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Spontaneous Gastric Perforation in a Case of Collagenous Gastritis

Marly H Appelman1, Tim G J de Meij1, E Andra Neefjes-Borst2

  • 1Department of Paediatric Gastroenterology VU University Medical Centre, Amsterdam, The Netherlands.

APSP Journal of Case Reports
|January 28, 2016
PubMed

Insights

Collagenous gastritis, a rare condition, can lead to severe abdominal issues. This case highlights gastric perforation as a potential complication in adolescents, emphasizing the need for awareness.

Area of Science:

  • Gastroenterology
  • Pediatric Pathology
  • Surgical Gastroenterology

Background:

  • Collagenous gastritis is an exceptionally rare gastrointestinal disorder affecting both pediatric and adult populations.
  • Clinical manifestations are diverse and correlate with the degree of collagenous infiltration in the gastric submucosa.
  • Commonly observed symptoms in children include iron deficiency anemia and abdominal discomfort.

Observation:

  • A 15-year-old male presented with symptoms indicative of acute abdomen.
  • Diagnostic evaluation revealed gastric perforation as the cause of his acute condition.

Findings:

  • The underlying cause of gastric perforation in this patient was identified as collagenous gastritis.
  • This case underscores a rare but severe complication of collagenous gastritis.

Implications:

  • This case expands the known clinical spectrum of collagenous gastritis, particularly in adolescents.
  • It emphasizes the importance of considering rare gastrointestinal pathologies in cases of acute abdomen.
  • Further research into the pathogenesis and management of collagenous gastritis is warranted.

Keywords:
Acute abdomenCollagenous gastritisGastric perforation

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